2 PACKAGE

part

M F D S APPLICATION FORM
preparation course exam membership in one package

Spread the cost of MFDS Part 2

with the Royal College of Physicians and Surgeons of Glasgow

Our MFDS Part 2 Package offers savings and lets you spread
the cost of MFDS Part 2 with a tailored payment plan.

The MFDS Part 2 Package includes:

• Free one year Affiliate Membership (save £30)
• MFDS Part 2 preparation course (save you £50)
• Early booking on MFDS Part 2 examination
• Monthly direct debit payment plan personalised to suit you
• 50% off Membership joining fee after passing your exam (save £75)
Total savings of £155

MFDS Part 2

MFDS Part 2

£155

MFDS Part 2

Spread the cost

of the prep course and the exam over a personalised monthly direct debit plan

For more information please visit:

rcp.sg/mfds2package
 2
part

M F D S Total
savings
preparation course exam membership in one package £155
Not on On
MFDS Part 2 costs Savings
package package
Affiliate membership £30 £0 £30
MFDS Part 2 preparation course £475 £425 £50
MFDS Part 2 examination £715 £715 £0
Joining fee £150 £75 £75
Total £1,370 £1,215 £155

Example of direct debit payment plan

Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May

Sign
up for Nine monthly payments of £135 Sit MFDS
package Part 2 exam

First MFDS
direct Part 2
debit preparation
payment course

For illustration purposes only, confirmation of payment plan will be issued separately

Applicants will be required to provide evidence of 12 months postgraduate

experience completed prior to the closing date for the part 2 examination.
Our aim is to support you at every stage of your career and as such we would love you to be one
of the first to hear about the wide range of services, benefits and activities which you can access
to support your professional development. To ensure you don’t miss out please tick this box to
be added to our mailing list.

Application form
Please submit your completed application form prior to the examination closing
date to: MFDS Part 2 Package, Examinations and Assessment Unit, Royal College
of Physicians and Surgeons of Glasgow, 232-242 St Vincent Street, Glasgow G2 5RJ
or via email to mfds@rcpsg.ac.uk
Only available to dental graduates with a UK bank account
Please indicate below the dates of the MFDS Part 2 preparation course and examination you wish to
attend. The latest course and exam dates can be found on our website www.rcpsg.ac.uk
MFDS Part 2 preparation course preferred date and location MFDS Part 2 examination preferred date and location*

Your details
Title Date of birth

Surname

Forename

Primary qualification Date awarded primary qualification

Awarding institution

Nationality GDC no.

Gender Male Female Transgender Prefer not to say

Home contact details Work contact details

Address Address

Postcode Postcode
(Please tick)
Email Email
I agree to the terms and conditions outlined below.
Telephone Mobile

Preferred means of contact Home Work

*Candidates must submit their completed exam application forms to the College before the advertised closing date
for the examination they wish to attend. Please note that places for these centres may be limited. Applications
will be allocated on a first come, first served basis.
All information we hold concerning you as an individual will be held and processed by us in accordance with our strict privacy
policy which you can view on our website at http://rcp.sg/privacy. Applications to the package may be accepted pending
sufficient evidence of 12 months postgraduate experience completed prior to the closing date for the part 2 examination.
Terms and conditions
1 All applicants will be assessed for eligibility. The eligibility criteria can be found on the College website www.rcpsg.ac.uk/dentistry
// 2 No money will be collected until the application has been accepted // 3 Fees to be paid via direct debit only. The payment
will be taken on or around the 18th day of every month. The date of the direct debit may not be changed // 4 The package is only
open to those with a UK bank account // 5 Once entered onto the package the only changes to the cost of the package will be for
increases in examination fees or where examination withdrawal or transfer requests are made. Charges will be levied in accordance
with the current edition of the MFDS Examination Regulations and are subject to normal terms and conditions for educational
events // 6 Examination results for individual examinations will only be issued if the fees for that examination are fully paid // 7
Candidates unable to attend a preparatory course for any reason may transfer to another revision course but are not eligible for a
refund // 8 Candidates wishing to take a career break should contact the College and arrangements will be made to suspend the
Direct Debit collection // 9 Candidates on maternity leave or long term sick leave should contact the College and arrangements will
be made to suspend the Direct Debit collection // 10 Examination fees are subject to change. The fees listed are correct at the time
of publication // 11 Candidates withdrawing from the package will not be eligible for any refunds and will be liable for payment of
any outstanding fees for examinations and/or revision courses.
MFDS_Part2_Package_App (05/18)
 Instruction to your
bank or building society
to pay by Direct Debit
Please fill in the whole form using a ball point pen and send it to:

Royal College of Physicians and Surgeons of Glasgow

232-242 St Vincent Street
Glasgow
G2 5JR

Service user number

9 0 6 1 6 6
Name(s) of account holder(s) Reference

Instruction to your bank or building society

Please pay Royal College of Physicians and Surgeons of Glasgow Direct
Bank/building society account number Debits from the account detailed in this Instruction subject to the
safeguards assured by the Direct Debit Guarantee. I understand that this
Instruction may remain with Royal College of Physicians and Surgeons
of Glasgow and, if so, details will be passed electronically to my
bank/building society.
Branch sort code

Name and full postal address of your bank or building society

To: The Manager Bank/building society

Address Signature(s)

Postcode Date

Banks and building societies may not accept Direct Debit Instructions for some types of account

DDI2

This guarantee should be detached and retained by the payer.

The
Direct Debit
Guarantee
• This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
• If there are any changes to the amount, date or frequency of your Direct Debit Royal College of Physicians and Surgeons of
Glasgow will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Royal
College of Physicians and Surgeons of Glasgow to collect a payment, confirmation of the amount and date will be given to you at
the time of the request.
• If an error is made in the payment of your Direct Debit, by Royal College of Physicians and Surgeons of Glasgow or your bank or
building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society
– If you receive a refund you are not entitled to, you must pay it back when Royal College of Physicians and Surgeons of
Glasgow asks you to
• You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be
required. Please also notify us.